ANGELA M GRIMALDI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

GRIMALDI

Business Name

ANGELA M GRIMALDI

Original Issue Date

12/10/2008

Effective Date

02/04/2024

Expiration Date

03/01/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025